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Provider Pointers on Calculating Nursing Hours

December 9, 2016 Guidance for Calculating Direct Nursing Care Hours December 2016 The Department of Health offers this information to guide Nursing care facilities in the calculation of Hours of direct Nursing care provided for each 24 hour period. When Calculating Nursing Hours consider the following: Surveyors will be requesting that the facility complete the attached table to document actual number of Hours each Nursing staff worked for the selected periods of time. Direct care Nursing staff are included for the purpose of Calculating the daily number of Hours of care per resident/day (PPD). The following are examples of staff that should not be included in the calculation of daily Nursing care Hours : Orientees Light duty Nursing staff who are not providing direct care RNACs Hospice staff Private caregivers Feeding assistants Student nurses Unit clerks (even if they are nurse aides) Examples of Hours that may be included: Light duty Nursing staff providing direct care such as nail care, feeding or 1:1 Meal times of staff who remain on duty (physically present & able to personally provide Nursing care when needed).

A dd the total number of direct care nursing staff hours for each 24 hour period, using the actual number of hours each person worked. Divide the total hours for each 24 hour period by the total census for each day to calculate the PPD. The PPD must be at least 2.7 to meet 211.12(i). If not, a citatio n will be issued.

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